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1.
Ann Thorac Surg ; 108(4): 1000-1005, 2019 10.
Artigo em Inglês | MEDLINE | ID: mdl-31430462

RESUMO

Despite an ever-diversifying United States population, women and underrepresented minorities lack proportionate membership in the cardiothoracic surgery workforce. Many Society of Thoracic Surgeons (STS) members view achieving a diverse cardiothoracic surgery workforce as important. To address the needs of our specialty to better reflect and understand (cultural competence) our evolving communities, the STS created the Workforce on Diversity and Inclusion. The Workforce's mission is to cultivate an environment of inclusion and diversity within the STS as well as the cardiothoracic surgical specialty. This report will discuss the background for the creation of the Workforce on Diversity and Inclusion, describe the "return on investment" in diversity, the current state of diversity in surgery, illustrate STS members' views on the importance of a diverse specialty, and present current and future activities of the Workforce on Diversity and Inclusion.


Assuntos
Especialidades Cirúrgicas/organização & administração , Cirurgia Torácica/organização & administração , Recursos Humanos/organização & administração , Humanos , Inquéritos e Questionários , Estados Unidos
2.
Int J Surg ; 67: 32-36, 2019 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-31121326

RESUMO

INTRODUCTION: Despite making up more than half of new doctors, women are underrepresented in most surgical specialties. Various reasons have been suggested for this including issues with work-life balance, discrimination and a lack of female role models in the specialty. We sought to quantify the extent of gender discrimination in leadership roles in surgical societies in the UK. METHODS: All major Surgical Specialty Organisations were identified via the Royal College of Surgeons Website. Leadership and committee information was collected via organisation websites on 5th September 2018. All societies were then contacted requesting data including total membership, their stage of training and the gender split. RESULTS: Of the twenty-four organisations contacted, eighteen were able to provide data. Women accounted for 11.8% (2446/20 803) of consultant and 34.3% (5267/15 366) of trainee members. 2/24 presidents; 3/26 of vice presidents; 18.1% (39/215) of executive committees and 13.5% (49/364) of wider committee members were female. Thirty-four committee members were not included as they were not surgeons (23 female; 11 male). DISCUSSION: Despite accounting for 27% of the surgical workforce and indeed 24% of surgical society members, women account for only 2 of 24 Presidents and 18.1% (39/215) of the executive committees of surgical societies in the UK. Action should be taken so women are fairly represented in leadership roles in surgical societies with one of the benefits being more visible role models for prospective female surgeons.


Assuntos
Liderança , Sociedades Médicas/organização & administração , Especialidades Cirúrgicas/organização & administração , Cirurgiões/provisão & distribução , Feminino , Identidade de Gênero , Humanos , Masculino , Estudos Prospectivos , Reino Unido
3.
Cir Esp ; 97(5): 282-288, 2019 May.
Artigo em Inglês, Espanhol | MEDLINE | ID: mdl-30755299

RESUMO

INTRODUCTION: The shortage of available beds and the increase in Emergency Department pressure can cause some patients to be admitted in wards with available beds assigned to other services (outlying patients). The aim of this study is to assess the frequency, types of complications and costs of outlying patients. METHODS: Using a retrospective cohort model, we analysed the 2015 general and digestive surgery records (source: Minimum Basic Data Set and economic database). After selecting all outlying patients, we compared the complications, length of stay, costs and consequences of complications against a randomized sample of non-outlying patients with the same DRG and date of episode for every outlying patient, obtaining one non-outlying patient for each selected outlying patient. Thirteen outlying patients with no non-outlying patient pair were excluded from the study. RESULTS: From a total of 2,915 patients, 363 (12.45%) were outlying patients. A total of 350 outlying patients were analysed versus 350 non-outlying patients. There were no significant differences in complications (9.4 vs. 8.3%), length of stay (4.33 vs. 4.65 days) or costs (€3,034.12 vs. €3,223.27). Outlying patients men presented a significantly higher risk of complications compared to women (RR=2.10). Outlying patients presented complications after 2.5 or more days. CONCLUSIONS: When outlying admissions become necessary, the selection of patients with less complex pathologies does not increase complications or their consequences (ICU admissions, readmissions, reoperations or mortality), hospital stays or costs. Only in cases of prolonged outlying stays of more than 2.5 days, or in males, may more complications appear. Therefore, male outliers should be avoided in general, and patients should be transferred to the proper ward if a length of stay beyond 2.5 days is foreseen.


Assuntos
Custos Hospitalares/estatística & dados numéricos , Tempo de Internação/estatística & dados numéricos , Complicações Pós-Operatórias/epidemiologia , Especialidades Cirúrgicas/organização & administração , Procedimentos Cirúrgicos Operatórios/estatística & dados numéricos , Ocupação de Leitos/estatística & dados numéricos , Procedimentos Cirúrgicos do Sistema Digestório/efeitos adversos , Procedimentos Cirúrgicos do Sistema Digestório/economia , Procedimentos Cirúrgicos do Sistema Digestório/estatística & dados numéricos , Feminino , Pesquisa sobre Serviços de Saúde/métodos , Humanos , Tempo de Internação/economia , Masculino , Admissão do Paciente/estatística & dados numéricos , Complicações Pós-Operatórias/economia , Estudos Retrospectivos , Espanha/epidemiologia , Procedimentos Cirúrgicos Operatórios/efeitos adversos , Procedimentos Cirúrgicos Operatórios/economia
4.
J Pediatr Surg ; 54(5): 1009-1012, 2019 May.
Artigo em Inglês | MEDLINE | ID: mdl-30795911

RESUMO

BACKGROUND: In 2014, a survey study of the Canadian pediatric surgery workforce predicted a need for 2 new pediatric surgeons/yr. in Canada. We sought to assess these predictions and evaluate the status of the workforce. METHODS: With IRB approval, a web-based survey was sent to pediatric surgery division chiefs in Canada each year (2013-2017). The survey data included: number of practicing pediatric surgeons, full time equivalent (FTE) positions, and fellowship graduates. RESULTS: There was a 100% response rate (18 divisions). From 2013 to 2017, the number of practicing pediatric surgeons and FTE positions increased (73 to 78, and 64.6 to 67.5, respectively). Eleven positions were vacated (4 retirement, 7 new practice), and 18 were filled. Eight were filled by new Canadian graduates, 7 by Canadians previously working in Canada or abroad, and 3 by European surgeons. Thirty-eight fellows completed training in Canada, including 24 non-Canadians who all left Canada. Nine Canadians who started practicing immediately after fellowship took positions in Canada (5) and the US (4). CONCLUSIONS: Predictions made in 2014 were largely accurate. There has been modest growth in the Canadian pediatric surgery workforce over the last 5 years. A significant mismatch continues to exist between Canadian pediatric surgery graduates and attending staff positions. TYPE OF STUDY: Survey. LEVEL OF EVIDENCE: V.


Assuntos
Mão de Obra em Saúde/tendências , Pediatria/tendências , Especialidades Cirúrgicas/tendências , Cirurgiões/provisão & distribução , Canadá , Educação de Pós-Graduação em Medicina/tendências , Bolsas de Estudo/tendências , Feminino , Humanos , Masculino , Pediatria/organização & administração , Estudos Prospectivos , Especialidades Cirúrgicas/organização & administração , Cirurgiões/tendências , Inquéritos e Questionários
5.
J Surg Res ; 235: 315-321, 2019 03.
Artigo em Inglês | MEDLINE | ID: mdl-30691812

RESUMO

PROBLEM: A predicted shortage of surgeons and attrition among surgical residents has highlighted the need to attract well-suited medical students to surgical specialties. Literature suggests that early exposure may increase interest by addressing misconceptions and allowing students more time to make an informed career decision. APPROACH: The Surgical Exploration and Discovery (SEAD) program was created in 2012 with the goal of providing medical students with comprehensive and multifaceted exposure to surgical specialties to develop their knowledge and skills, and in turn positively influence their interest in pursuing a surgical career. The purpose of this innovation report is to describe the challenges, successes, and evolution of the SEAD program. OUTCOMES: Since its inception, SEAD has expanded to include 5 North American institutions and has educated nearly 400 participants in 5 y. Through a replication strategy, SEAD has maintained its basic curriculum, while accommodating the constraints and innovative approaches unique to each institution. Short-term results have demonstrated improved knowledge of curricular objectives, student perception of significant value of the program, and the generation of interest in a career in surgery. CONCLUSIONS: Future directions include the evaluation of long-term impact on pursuing a career in surgery and continuing further expansion using the current replication model, while maintaining a high-quality surgical education program.


Assuntos
Educação de Graduação em Medicina/organização & administração , Especialidades Cirúrgicas/educação , Educação de Graduação em Medicina/economia , Especialidades Cirúrgicas/organização & administração
6.
Khirurgiia (Mosk) ; (8. Vyp. 2): 59-64, 2018.
Artigo em Russo | MEDLINE | ID: mdl-30199053

RESUMO

The modern model of inpatient surgical care of private and optimized state/govermental medical institutions allows us to change the paradigm of nosological attachment of the hospital bed to one profile of specialists for an adaptive model, when the wards can be reassigned depending on the needs of the hospital. In such multidisciplinary medical centers with mixed hospital beds without a nominal distinction in the nosological departments, a new therapeutic service is being developed - hospitalists, which provide a consistent curation of hospitalized patients, compensation of chronic therapeutic illnesses with patient's preparation for surgical interventions. Our work describes the experience of Fast Track recovery program with the active participation of a hospitalist in a surgical team, which is a new experience in the practice of Russian colorectal surgery.


Assuntos
Protocolos Clínicos/normas , Médicos Hospitalares/organização & administração , Hospitais/normas , Assistência Perioperatória/normas , Papel do Médico , Especialidades Cirúrgicas/organização & administração , Competência Clínica , Hospitalização , Humanos , Modelos Organizacionais , Federação Russa , Especialização , Especialidades Cirúrgicas/normas
7.
J R Soc Med ; 111(9): 324-334, 2018 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-30175935

RESUMO

Objective To identify organizational barriers to and facilitators for female surgeons' career progression. Design Systematic review of qualitative and quantitative studies relating to organizational barriers to and facilitators for female Surgeons' career progression. After the quality assessment of the peer-reviewed journal articles, twelve articles were selected for full review. Thematic analysis was used to identify key themes in these selected articles. Setting The studies solely focused on organizational factors linked to female physicians' career progression in surgical specialties. Partcipants Female surgeons. Main outcome measures Organizational barriers and facilitators Results Twelve peer-reviewed journal articles were included in the study which focused on barriers to female surgeons' career progression, ways of facilitating female surgeons' career progression, and female surgeons' job satisfaction. Conclusion The major organisational factors contributing to the lack of career progression for female surgeons are (1) organizational culture which promotes rigid career structure that is inclined to support male surgeons than female surgeons and also male domination in which male surgeons feel superior to female surgeons (2) work family conflict whereby women feel that they have to make a family sacrifice by being women; they experience the difficulty in securing a work-life balance in the masculine career structure in surgical specialties. This implies that policy makers and healthcare organizations need to pay significant attention to organizational facilitators for female surgeons' career progression such as flexible career pathways and work patterns, a variety of different viable career progressions, more family-friendly working conditions, and the promotion of female mentors and role models in surgical specialties to support female surgeons in dealing with the organizational barriers in the male-dominated organizational culture and the lifestyle issues as well.


Assuntos
Atitude do Pessoal de Saúde , Escolha da Profissão , Satisfação no Emprego , Médicas/organização & administração , Especialidades Cirúrgicas/organização & administração , Feminino , Humanos
8.
J Surg Res ; 229: 337-344, 2018 09.
Artigo em Inglês | MEDLINE | ID: mdl-29937011

RESUMO

BACKGROUND: Current global surgery initiatives focus on increasing surgical workforce; however, it is unclear whether this approach would be helpful globally, as patients in low-resource countries may not be able to reach hospitals in a timely fashion without formal Emergency Medical Services (EMS). We hypothesize that increased surgical workforce correlates with decreased road traffic deaths (RTDs) only in countries with EMS. METHODS: Estimated RTDs were obtained from the Global Status Report on Road Safety 2013, which estimated the RTD rate in 2010 (RTD 2010). The classification of EMS was defined by the Global Status Report on Road Safety 2009. The density of surgeons, anesthesiologists, and obstetricians (SAO density) and 2010 income classification were accessed from the World Bank. Multivariable regression analysis was performed adjusting for different countries, income levels, and trauma system characteristics. Sensitivity analysis was performed. RESULTS: One-fourth of the countries reported not having formal EMS (n = 41, 23.4%). On adjusted analysis, SAO density was not associated with changes in RTD 2010 in countries without EMS (n = 25, P = 0.50). However, in countries with EMS, each increase in SAO density per 100,000 population decreased RTDs by 0.079 per 100,000 population (n = 97, P <0.001). Income was the only other factor resulting in reduced mortality rates (P = 0.004). Sensitivity analysis confirmed these findings. CONCLUSIONS: Increases in surgical workforce reduce RTDs only when EMS exist. Surgical workforce and EMS must be seen as part of the same system and developed together to maximize their effect in reducing RTDs. Global health initiatives should be tailored to individual country need. LEVEL OF EVIDENCE: Level II (Ecological study).


Assuntos
Acidentes de Trânsito/mortalidade , Acidentes de Trânsito/prevenção & controle , Serviços Médicos de Emergência/organização & administração , Saúde Global/estatística & dados numéricos , Acesso aos Serviços de Saúde/organização & administração , Necessidades e Demandas de Serviços de Saúde/organização & administração , Serviços Médicos de Emergência/estatística & dados numéricos , Acesso aos Serviços de Saúde/estatística & dados numéricos , Necessidades e Demandas de Serviços de Saúde/estatística & dados numéricos , Mão de Obra em Saúde/organização & administração , Mão de Obra em Saúde/estatística & dados numéricos , Humanos , Especialidades Cirúrgicas/organização & administração , Especialidades Cirúrgicas/estatística & dados numéricos , Transporte de Pacientes/organização & administração , Transporte de Pacientes/estatística & dados numéricos
10.
J Pediatr Surg ; 53(11): 2273-2278, 2018 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-29784283

RESUMO

PURPOSE: Employment opportunities for graduating pediatric surgeons vary from year to year. Significant turnover among new employees indicates fellowship graduates may be unsophisticated in choosing job opportunities which will ultimately be satisfactory for themselves and their families. The purpose of this study was to assess what career, life, and social factors contributed to the turnover rates among pediatric surgeons in their first employment position. METHODS: American Pediatric Surgical Association members who completed fellowship training between 2011 and 2016 were surveyed voluntarily. Only those who completed training in a pediatric surgery fellowship sanctioned by the American Board of Surgery and whose first employment involved the direct surgical care of patients were included. The survey was completed electronically and the results were evaluated using chi-squared analysis to determine which independent variables contributed to a dependent outcome of changing place of employment. RESULTS: 110 surveys were returned with respondents meeting inclusion criteria. 13 (11.8%) of the respondents changed jobs within the study period and 97 (88.2%) did not change jobs. Factors identified that likely contributed to changing jobs included a perceived lack of opportunity for career [p = <0.001] advancement and the desire to no longer work at an academic or teaching facility [p = 0.013]. Others factors included excessive case load [p = 0.006]; personal conflict with partners or staff [p = 0.007]; career goals unfulfilled by practice [p = 0.011]; lack of mentorship in partners [p = 0.026]; and desire to be closer to the surgeon's or their spouse's family [p = 0.002]. CONCLUSIONS: Several factors appear to play a role in motivating young pediatric surgeons to change jobs early in their careers. These factors should be taken into account by senior pediatric fellows and their advisors when considering job opportunities. TYPE OF STUDY: Survey. LEVEL OF EVIDENCE: IV.


Assuntos
Credenciamento/organização & administração , Pediatria/organização & administração , Reorganização de Recursos Humanos/estatística & dados numéricos , Especialidades Cirúrgicas/organização & administração , Metas , Humanos , Motivação , Estados Unidos
12.
Semin Pediatr Surg ; 27(2): 102-106, 2018 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-29548350

RESUMO

Telemedicine, the remote diagnosis and treatment of patients by means of technology, provides an alternative means for patients to gain access to health care services. Telemedicine is a general term that includes the use of various communication technologies, including telephone, email, or videoconferencing. Telemedicine has the potential to reduce inefficiencies in the delivery of healthcare, diminish patient travel and wait times, and increase access to specialists for patients in rural settings. We review the use of telemedicine in the perioperative phase of care for pediatric surgical patients, their caregivers, and surgical providers, including pre-operative assessments, and post-operative follow-up. We also discuss physician billing compliance with remote telemedicine consultation and explore the barriers to adoption among the caregivers of pediatric surgery patients.


Assuntos
Assistência Perioperatória/métodos , Serviços de Saúde Rural , Telemedicina/métodos , Assistência ao Convalescente/métodos , Assistência ao Convalescente/organização & administração , Criança , Humanos , Pediatria/métodos , Pediatria/organização & administração , Serviços de Saúde Rural/organização & administração , Especialidades Cirúrgicas/métodos , Especialidades Cirúrgicas/organização & administração , Telemedicina/organização & administração , Estados Unidos
13.
Semin Pediatr Surg ; 27(2): 107-113, 2018 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-29548351

RESUMO

The operating room (OR) is a special place wherein groups of highly skilled individuals must work in a coordinated and harmonious fashion to deliver optimal patient care. Team dynamics and human factors principles were initially studied by the aviation industry to better understand and prevent airline accidents. As a result, crew resource management (CRM) training was designed for all flight personnel to create a highly reliable industry with a commitment to a culture of safety. CRM has since been adapted to health care, resulting in care improvement and harm reduction across a wide variety of medical specialties. When implemented in the OR, CRM has been shown not only to improve communication and morale for OR staff, but also reduce morbidity and mortality for patients. As increasing focus is placed on quality, safety, and high-reliability, surgeons will be expected to participate and lead efforts to facilitate a team approach in this new era of patient care.


Assuntos
Gestão de Recursos da Equipe de Assistência à Saúde/organização & administração , Salas Cirúrgicas/organização & administração , Equipe de Assistência ao Paciente/organização & administração , Segurança do Paciente/normas , Assistência Perioperatória/normas , Criança , Humanos , Relações Interprofissionais , Erros Médicos/prevenção & controle , Pediatria/organização & administração , Assistência Perioperatória/métodos , Complicações Pós-Operatórias/prevenção & controle , Especialidades Cirúrgicas/organização & administração
15.
Eur J Pediatr Surg ; 28(3): 227-237, 2018 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-28376534

RESUMO

BACKGROUND: Detailed data on the distribution of pediatric surgical institutions in Europe are sparse. Therefore, the Section and Board of Pediatric Surgery of the Union of European Medical Specialists (UEMS) and the European Pediatric Surgeons' Association (EUPSA) jointly organized the first official census of the European centers of pediatric surgery (PS). MATERIALS AND METHODS: After obtaining a list of pediatric surgical centers in Europe, a specialized questionnaire was created and made available on the Internet. General, workload, staff, and ancillary data were collected for the centers. RESULTS: Total 215 out of 431 centers answered. PS center density is 1 in every 177,000 children or 1 in every 1,142,000 inhabitants. Approximately 77% of the centers (167 out of 215) are training centers in PS. Every center has an average inpatients procedures/year equal to 1,588, and 92.6 neonatal procedures/year. There are 3.9 surgeons/100,000 children, and 1,662 neonates for every surgeon. In average every EU surgeon performs 202 procedures/year, of which 11 procedures are on neonates. Trainees represent the 38% of the total workforce, and there are 2.3 trainees for every staff aged > 60 years. CONCLUSION: The paper aims to offer a more grounded basis on which the future of PS in our Continent should be planned. Presented data will provide an invaluable help to all our colleagues, as well as national policy makers, to press for and to make better informed and well-grounded sound political choices in the field of PS.


Assuntos
Censos , Hospitais Pediátricos/estatística & dados numéricos , Hospitais Públicos/estatística & dados numéricos , Hospitais Universitários/estatística & dados numéricos , Pediatria/estatística & dados numéricos , Especialidades Cirúrgicas/estatística & dados numéricos , Procedimentos Cirúrgicos Operatórios/estatística & dados numéricos , Adolescente , Criança , Pré-Escolar , Europa (Continente) , Hospitais Pediátricos/organização & administração , Hospitais Públicos/organização & administração , Hospitais Universitários/organização & administração , Humanos , Lactente , Recém-Nascido , Pediatria/educação , Pediatria/organização & administração , Especialidades Cirúrgicas/educação , Especialidades Cirúrgicas/organização & administração
16.
Eur J Pediatr Surg ; 28(1): 51-59, 2018 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-28806850

RESUMO

BACKGROUND: The Lancet Commission on Global Surgery reported that 5 billion people lack access to safe, affordable surgical care. The majority of these people live in low-resource settings, where up to 50% of the population is children. The Disease Control Priorities (Debas HTP, Donkor A, Gawande DT, Jamison ME, Kruk, and Mock CN, editors. Essential Surgery. Disease Control Priorities. Third Edition, vol 1. Essential Surgery. Washington, DC: World Bank; 2015) on surgery included guidelines for the improvement of access to surgical care; however, these lack detail for children's surgery. AIM: To produce guidance for low- and middle-income countries (LMICs) on the resources required for children's surgery at each level of hospital care. METHODS: The Global Initiative for Children's Surgery (GICS) held an inaugural meeting at the Royal College of Surgeons in London in May 2016, with 52 surgical providers from 21 countries, including 27 providers from 18 LMICs. Delegates engaged in working groups over 2 days to prioritize needs and solutions for optimizing children's surgical care; these were categorized into infrastructure, service delivery, training, and research. At a second GICS meeting in Washington in October 2016, 94 surgical care providers, half from LMICs, defined the optimal resources required at primary, secondary, tertiary, and national referral level through a series of working group engagements. RESULTS: Consensus solutions for optimizing children's surgical care included the following: · Establishing standards and integrating them into national surgical plans.. · Each country should have at least one children's hospital.. · Designate, facilitate, and support regional training hubs covering all. · children's surgical specialties.. · Establish regional research support centers.. An "Optimal Resources" document was produced detailing the facilities and resources required at each level of care. CONCLUSION: The Optimal Resources document has been produced by surgical providers from LMICs who have the greatest insight into the needs and priorities in their population. The document will be refined further through online GICS Working Groups and the World Health Organization for broad application to ensure all children have timely access to safe surgical care.


Assuntos
Países em Desenvolvimento , Acesso aos Serviços de Saúde/normas , Hospitais Pediátricos/normas , Pediatria/normas , Melhoria de Qualidade/normas , Especialidades Cirúrgicas/normas , Procedimentos Cirúrgicos Operatórios/normas , Criança , Saúde Global , Alocação de Recursos para a Atenção à Saúde/organização & administração , Acesso aos Serviços de Saúde/organização & administração , Hospitais Pediátricos/provisão & distribução , Humanos , Pediatria/educação , Pediatria/organização & administração , Especialidades Cirúrgicas/educação , Especialidades Cirúrgicas/organização & administração , Procedimentos Cirúrgicos Operatórios/educação
18.
Chirurgia (Bucur) ; 112(5): 630-631, 2017.
Artigo em Inglês | MEDLINE | ID: mdl-29088565

RESUMO

In 2008 Uranues published the results of a questionnaire sent to experts across 27 European countries on the assessment of attitudes toward acute care surgery and he concluded that no unified system of acute care surgery in Europe was yet developed due to different approaches to the surgical critical patient and that, with exception of some dedicated centres, the intra-hospital resources were not dedicated to acute care surgery patients with consequent negative impact on ideal treatment both in the elective and acute patients (1). The problem in most of European countries is still the same: who is the best surgeon to deal with these patients with an acute surgical condition? The era of the "omnipotent general surgeon" is to an end and in order to improve quality in specific areas many institutions dedicate most of their economic resources to highly specialized surgical units; nowadays young committed surgeons are therefore attracted by the so-called "organ specific surgery" and take care of emergency surgery and trauma cases just because of a contractual obligation. The lack of subspecialty in trauma and acute care and the lack of interest in the treatment of such complex surgical and trauma cases did not give impetus to the development of clinical standards or professional accreditations guidelines causing a perfect storm with consequent provided care that is less than optimal.


Assuntos
Cuidados Críticos/organização & administração , Liderança , Padrões de Prática Médica , Centro Cirúrgico Hospitalar/organização & administração , Tratamento de Emergência/normas , União Europeia , Humanos , Especialidades Cirúrgicas/organização & administração , Procedimentos Cirúrgicos Operatórios/normas , Centros de Traumatologia/organização & administração , Ferimentos e Lesões/cirurgia
20.
J Surg Res ; 219: ix-xviii, 2017 11.
Artigo em Inglês | MEDLINE | ID: mdl-29078918

RESUMO

This 2017 Presidential Address for the Association for Academic Surgery was delivered on February 8, 2017. It addresses the difficult topic of gender disparities in surgery. Mixing empirical data with personal anecdotes, Dr. Caprice Greenberg provides an insightful overview of this difficult challenge facing the surgical discipline and practical advice on how we can begin to address it.


Assuntos
Mobilidade Ocupacional , Médicas , Sexismo , Especialidades Cirúrgicas , Cirurgiões , Docentes de Medicina/ética , Docentes de Medicina/organização & administração , Docentes de Medicina/psicologia , Docentes de Medicina/estatística & dados numéricos , Feminino , Identidade de Gênero , Humanos , Liderança , Masculino , Papel do Médico , Médicas/ética , Médicas/organização & administração , Médicas/psicologia , Médicas/estatística & dados numéricos , Salários e Benefícios/estatística & dados numéricos , Sexismo/ética , Sexismo/prevenção & controle , Sexismo/psicologia , Sexismo/estatística & dados numéricos , Sociedades Médicas/ética , Sociedades Médicas/organização & administração , Sociedades Médicas/estatística & dados numéricos , Especialidades Cirúrgicas/ética , Especialidades Cirúrgicas/organização & administração , Especialidades Cirúrgicas/estatística & dados numéricos , Cirurgiões/ética , Cirurgiões/organização & administração , Cirurgiões/psicologia , Cirurgiões/estatística & dados numéricos , Estados Unidos , Direitos da Mulher/ética , Direitos da Mulher/organização & administração , Direitos da Mulher/estatística & dados numéricos
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